Become a Member Membership - NC Nonprofits

Become a Member

Return this form with payment, or join online: membership

Organization Name

Mailing Address

City

State Zip

County

Primary Contact

Title

Phone Number

Email

Website

EIN

NTEE Designation

Number of FT Staff

Number of Board Members

ORGANIZATION TYPE o 501c3 with operations in NC o Anticipate becoming 501c3 and operating in NC o Unincorporated group serving charitable purposes in NC

How did you hear about the Center?

o Online

o Email

o Mailing

o Center-sponsored event

o Word of mouth. Referred by:______________________________________________

TOTAL ANNUAL EXPENSE $_________________________________________________

Use "Total Expenses" from page 1 of IRS Form 990 or 990-EZ, or total expenses for prior fiscal year. Private foundations, use "Total Operating & Admin Expenses" from IRS 990-PF.

*Membership Dues $___________________________________________________________

o Check o Credit Card

Cardholder Name

Card #

Exp Date

CVV

Signature

Every staff, board, and volunteer member of the organization can create an online account and access member benefits. Thank you for becoming a Member of the North Carolina Center for Nonprofits.

*Dues cover 12 months from the join date.

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